Frew ex rel. Frew v. Hawkins

Mothers of children eligible for Texas's Medicaid-funded EPSDT screening program sued the state, alleging its program didn't comply with federal law, and the parties resolved the suit through a court-approved consent decree specifying how Texas would implement and administer the program. When the plaintiffs later moved to enforce the decree, Texas argued the Eleventh Amendment barred enforcement; the district court disagreed and found Texas had violated the decree, but the Fifth Circuit reversed on Eleventh Amendment grounds, and the Supreme Court granted certiorari.